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General NPI Number Information
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NPI Number | 1326994310
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Entity Type | Organization
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Legal Business Name | MODIFY HEALTH SYSTEMS
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 8600 E VALLEY RD STE A-B
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-8742
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Country | US
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Telephone | 928-224-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 E VALLEY RD STE A-B
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-8742
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Country | US
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Telephone | 928-224-8478
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARA MARTIN
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Credential | FOUNDER
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Telephone | 928-224-8478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NT0100X
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Taxonomy Name | Thermography Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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